Dr. Nadine Burke Harris, California Surgeon General and Keynote speaker spoke on the process of applying the science of toxic stress to transform outcomes in California. "Considering the direct relationship between ACEs and diseases such as asthma, depression, cardiovascular disease, smoking, heavy drinking and obesity, the annual cost of ACEs to California exceeds $112.5 Billion". Click image on right to watch the video

 

Dr. Moira Szilagyi presented on Trauma and Resilience. "Once we have identified trauma, we also need to provide developmentally informed psycho education or guidance to the caregiver and child about trauma and its impact on the developing brain, so the caregiver can understand the child's emotions and behaviors in that context. "

 

Dr. Ariane Marie-Mitchell presented on Screening and Addressing ACEs in Health Care Practices. "One of the remarkable findings from the adult literature on ACEs is that there is a dose-response relationship between the number of ACEs and the risk for poor outcomes. And in general when adults reported 4 or more ACEs there was a statistically significant increased risk of a variety of poor outcomes".

 

Providing a perspective from the California Medical Association (CMA), Dr. Marti Baum shared that "Part of CMA's policy is to support efforts for cost-effective ACE screening tools without additional burden for physicians, as well as effective interventions, treatments and support services necessary for a positive screening practice in pediatric and adult populations".

 

Lastly, Dr. Ariane Marie-Mitchell, Dr. Ruby Kalra and Dr. Adwoa Osei spoke on Avoiding Burnout and Vicarious Trauma. "In addition to individual stress factors, health professionals are exposed to organizational stress factors (Changes in leadership, mandates without resources, staff turnover...). While many of our organizations are trauma inducing, learning about and applying trauma-informed (or resilience-informed) principles can shift our organizations to recognize the widespread impact of trauma and change practices and policies to address its effects."

 

Members of the ACEs Committee, from left: Marti Baum, MD - Adwoa Osei, MD - Moira Szilagyi, MD, PhD - Denise Nunez, MD - Adam Schickedanz, MD (Chair) - Ariane Marie-Mitchell, MD, MPH, PhD - Christine Thang, MD - Alisha Ranadive, MD - Ruby Kalra, MD

 

AAP-CA2 commends the work of our ACEs Committee for this putting together this fantastic program.  

 

This event was in part made possible by a generous donation from Dr. Trisha Roth. 

We would also like to thank Ronald E. Brown, President & CEO of Children's Bureau, and   Allison "Allie" Olson, Executive Director, and Sophia Wrench, Operations Associate of LIFT-Los Angeles for their tremendous support in providing the optimal space for our event.

 

Immigrant Youth Task Force - Speaker Series  

Topic: Medical-Legal Parnterships and Academic Advocacy featuring Alan Shapiro, MD, FAAP, Medical Director and co-founder of Terra Firma